When is it necessary to remove the ovaries?

Ovariectomy is an operative intervention that involves the removal of the ovaries. Before making a decision about the need for such a procedure, doctors take into account the patient's age, the degree of complication of the disease and the presence of oncological processes. Particular attention is paid to the desire of women to maintain their reproductive function.

As a rule, conservative treatment is advisable only in the presence of a functional cyst. With the remaining tumors, it is recommended to remove the ovary (one or both).

Before carrying out the operation, the doctor must conduct a histological examination, which must confirm that the tumor is not malignant, and only after that to prescribe an operation. The fact is that laparoscopic removal of the ovaries is possible with a benign tumor. If the development of a malignant process is detected, laparotomy is prescribed with a histological examination during the operation itself.

When there are tumors in the ovaries, several types of surgical intervention can be prescribed. So, the operation of a cystectomy involves the removal of the cyst and the preservation of a healthy tissue. In this case, the function of the ovaries is not disturbed, because they can be saved. After a certain time, the scar heals, and all processes are resumed as usual.

The higher the cyst in the ovary, the less healthy tissue is preserved and the more difficult it is to keep the possibility of its full-fledged work in the future. In this case, a wedge resection of the ovary is appointed , during which the removal of the cyst is carried out through a cut made in the form of a wedge.

Sometimes, when there is a suspicion of the development of a malignant process, the analysis may require a healthy tissue of the second organ. In this case, a biopsy is performed: a small piece of tissue is extracted, which is necessary for the examination of the ovary.

If tumors occur in women after the onset of menopause or in late reproductive age, doctors consider the possibility of ovariectomy in several ways.

So, for today removal of ovaries is spent more often by means of a laparoscopy. This is a relatively simple procedure that involves a small incision in the navel area. In the normal course of the operation, the rehabilitation period takes no more than two to three days. However, in the presence of complications, these terms may increase.

After laparoscopy, a histological examination is performed (and a portion of the healthy ovary tissue is taken for a biopsy), which should show the degree of possible development of malignant processes. In the case of detection of ovarian cancer, an operation is next appointed, which will involve the removal of the uterus with appendages.

In the normal course of the operation, the rehabilitation period takes no more than two to three days. However, in the presence of complications, these terms may increase.

Sometimes, when the removal of the ovaries is carried out together with the removal of the uterus, it is much safer to choose a surgical procedure that involves cutting the abdominal cavity. Of course, the recovery period in this case is longer, but when choosing this technique, there is more opportunity to explore the entire pelvic region. If it is a question of health, then there is no sense in taking care of "comfort" and "conveniences".

Remember that in women who have removed either the uterus or the ovaries, menstruation is no longer coming. Also after such operations there is a decrease in the production of estrogen, which leads to the occurrence of hot flashes, increased sweating. This is very hard to tolerate by the body, because such failures occur without a preparatory period.